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NPI Code Detail

MEDICARE: ORTHOVIRGINIA, INC.

MEDICARE: ORTHOVIRGINIA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician
2225X00000XOccupational Therapist
3261QP2000XPhysical Therapy Clinic/Center
4261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11265470645OTHERNPI

General Provider Information

NPI Number : 1265470645
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOVIRGINIA, INC.
Provider Business Mailing Address
First Line : PO BOX 715868
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19171-5868
Country : US
Telephone Number : 804-915-1910
Fax Number : 804-327-9812
Provider Business Practice Location Address
First Line : 1115 BOULDERS PARKWAY
Second Line : SUITE 200
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-4067
Country : US
Telephone Number : 804-327-9242
Fax Number : 804-327-9812
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JUSTIN FERRELL
Credential :
Telephone Number : 757-297-1688
Provider Enumeration Date : 06/04/2006
Last Update Date : 09/18/2025

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Directions to “ORTHOVIRGINIA, INC. ” Practice Location

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